401k Plan data: KANSAS SPINE & SPECIALTY HOSPITAL LLC SAVINGS INCENTIVE PLAN plan

KANSAS SPINE & SPECIALTY HOSPITAL LLC SAVINGS INCENTIVE PLAN 401k Plan overview

Plan Name	KANSAS SPINE & SPECIALTY HOSPITAL LLC SAVINGS INCENTIVE PLAN
Plan identification number	001

KANSAS SPINE & SPECIALTY HOSPITAL LLC SAVINGS INCENTIVE PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Age/Service Weighted or new comparability or similar plan - Age/Service Weighted Plan: Allocations are based on age, service, or age and service. New comparability or similar plan: Allocations are based on participant classifications and a classification(s) consists entirely or predominantly of highly compensated employees; or the plan provides an additional allocation rate on compensation above a specified threshold, and the theshold or additional rate exceeds the maximum threshold or rate allowed under the permitted disparity rules of section 401(l).
Profit-sharing
Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
Partial participant-directed account plan - Participants have the opportunity to direct the investment of a portion of the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.

401k Sponsoring company profile

KANSAS SPINE & SPECIALTY HOSPITAL, L.L.C. has sponsored the creation of one or more 401k plans.

Company Name: KANSAS SPINE & SPECIALTY HOSPITAL, L.L.C.

Employer identification number (EIN): 481251730

NAIC Classification: 622000
NAIC Description: Hospitals

Form 5500 Filing Information

Submission information for form 5500 for 401k plan KANSAS SPINE & SPECIALTY HOSPITAL LLC SAVINGS INCENTIVE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2022-01-01 JENNIFER GERKEN 2023-10-10
001 2021-01-01 JENNIFER GERKEN 2022-08-04
001 2020-01-01 JENNIFER GERKEN 2021-08-02
001 2019-01-01 JENNIFER GERKEN 2020-08-10
001 2018-01-01 ANGELA ANDERSON 2019-08-19
001 2017-01-01
001 2016-01-01
001 2015-01-01
001 2014-01-01 KEVIN VAUGHN 2015-10-01
001 2013-01-01 TOM SCHMITT 2014-10-14
001 2012-01-01 TOM SCHMITT 2013-05-15
001 2011-01-01 TOM SCHMITT
001 2009-01-01 TOM SCHMITT
001 2009-01-01 TOM SCHMITT

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
001	2022-01-01	JENNIFER GERKEN	2023-10-10
001	2021-01-01	JENNIFER GERKEN	2022-08-04
001	2020-01-01	JENNIFER GERKEN	2021-08-02
001	2019-01-01	JENNIFER GERKEN	2020-08-10
001	2018-01-01	ANGELA ANDERSON	2019-08-19
001	2017-01-01
001	2016-01-01
001	2015-01-01
001	2014-01-01	KEVIN VAUGHN	2015-10-01
001	2013-01-01	TOM SCHMITT	2014-10-14
001	2012-01-01	TOM SCHMITT	2013-05-15
001	2011-01-01	TOM SCHMITT
001	2009-01-01	TOM SCHMITT
001	2009-01-01	TOM SCHMITT

Plan Statistics for KANSAS SPINE & SPECIALTY HOSPITAL LLC SAVINGS INCENTIVE PLAN

401k plan membership statisitcs for KANSAS SPINE & SPECIALTY HOSPITAL LLC SAVINGS INCENTIVE PLAN

Measure Date Value
2022: KANSAS SPINE & SPECIALTY HOSPITAL LLC SAVINGS INCENTIVE PLAN 2022 401k membership
Total participants, beginning-of-year 2022-01-01 256
Total number of active participants reported on line 7a of the Form 5500 2022-01-01 179
Number of retired or separated participants receiving benefits 2022-01-01 12
Number of other retired or separated participants entitled to future benefits 2022-01-01 38
Total of all active and inactive participants 2022-01-01 229
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2022-01-01 1
Total participants 2022-01-01 230
Number of participants with account balances 2022-01-01 218
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2022-01-01 7
2021: KANSAS SPINE & SPECIALTY HOSPITAL LLC SAVINGS INCENTIVE PLAN 2021 401k membership
Total participants, beginning-of-year 2021-01-01 270
Total number of active participants reported on line 7a of the Form 5500 2021-01-01 199
Number of retired or separated participants receiving benefits 2021-01-01 0
Number of other retired or separated participants entitled to future benefits 2021-01-01 64
Total of all active and inactive participants 2021-01-01 263
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2021-01-01 0
Total participants 2021-01-01 263
Number of participants with account balances 2021-01-01 224
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2021-01-01 14
2020: KANSAS SPINE & SPECIALTY HOSPITAL LLC SAVINGS INCENTIVE PLAN 2020 401k membership
Total participants, beginning-of-year 2020-01-01 244
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 199
Number of retired or separated participants receiving benefits 2020-01-01 0
Number of other retired or separated participants entitled to future benefits 2020-01-01 60
Total of all active and inactive participants 2020-01-01 259
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2020-01-01 0
Total participants 2020-01-01 259
Number of participants with account balances 2020-01-01 225
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2020-01-01 17
2019: KANSAS SPINE & SPECIALTY HOSPITAL LLC SAVINGS INCENTIVE PLAN 2019 401k membership
Total participants, beginning-of-year 2019-01-01 213
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 191
Number of retired or separated participants receiving benefits 2019-01-01 0
Number of other retired or separated participants entitled to future benefits 2019-01-01 41
Total of all active and inactive participants 2019-01-01 232
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2019-01-01 0
Total participants 2019-01-01 232
Number of participants with account balances 2019-01-01 201
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2019-01-01 9
2018: KANSAS SPINE & SPECIALTY HOSPITAL LLC SAVINGS INCENTIVE PLAN 2018 401k membership
Total participants, beginning-of-year 2018-01-01 186
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 173
Number of retired or separated participants receiving benefits 2018-01-01 0
Number of other retired or separated participants entitled to future benefits 2018-01-01 25
Total of all active and inactive participants 2018-01-01 198
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2018-01-01 0
Total participants 2018-01-01 198
Number of participants with account balances 2018-01-01 176
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-01-01 6
2017: KANSAS SPINE & SPECIALTY HOSPITAL LLC SAVINGS INCENTIVE PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 127
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 110
Number of retired or separated participants receiving benefits 2017-01-01 0
Number of other retired or separated participants entitled to future benefits 2017-01-01 15
Total of all active and inactive participants 2017-01-01 125
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-01-01 0
Total participants 2017-01-01 125
Number of participants with account balances 2017-01-01 125
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-01-01 0
2016: KANSAS SPINE & SPECIALTY HOSPITAL LLC SAVINGS INCENTIVE PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 126
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 107
Number of retired or separated participants receiving benefits 2016-01-01 0
Number of other retired or separated participants entitled to future benefits 2016-01-01 13
Total of all active and inactive participants 2016-01-01 120
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 0
Total participants 2016-01-01 120
Number of participants with account balances 2016-01-01 120
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 1
2011: KANSAS SPINE & SPECIALTY HOSPITAL LLC SAVINGS INCENTIVE PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 107
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 86
Number of retired or separated participants receiving benefits 2011-01-01 0
Number of other retired or separated participants entitled to future benefits 2011-01-01 9
Total of all active and inactive participants 2011-01-01 95
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 95
Number of participants with account balances 2011-01-01 95
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 4
2009: KANSAS SPINE & SPECIALTY HOSPITAL LLC SAVINGS INCENTIVE PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 187
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 100
Number of retired or separated participants receiving benefits 2009-01-01 0
Number of other retired or separated participants entitled to future benefits 2009-01-01 27
Total of all active and inactive participants 2009-01-01 127
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 127
Number of participants with account balances 2009-01-01 127
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 0

Measure	Date	Value
2022: KANSAS SPINE & SPECIALTY HOSPITAL LLC SAVINGS INCENTIVE PLAN 2022 401k membership
Total participants, beginning-of-year	2022-01-01	256
Total number of active participants reported on line 7a of the Form 5500	2022-01-01	179
Number of retired or separated participants receiving benefits	2022-01-01	12
Number of other retired or separated participants entitled to future benefits	2022-01-01	38
Total of all active and inactive participants	2022-01-01	229
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2022-01-01	1
Total participants	2022-01-01	230
Number of participants with account balances	2022-01-01	218
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2022-01-01	7
2021: KANSAS SPINE & SPECIALTY HOSPITAL LLC SAVINGS INCENTIVE PLAN 2021 401k membership
Total participants, beginning-of-year	2021-01-01	270
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	199
Number of retired or separated participants receiving benefits	2021-01-01	0
Number of other retired or separated participants entitled to future benefits	2021-01-01	64
Total of all active and inactive participants	2021-01-01	263
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2021-01-01	0
Total participants	2021-01-01	263
Number of participants with account balances	2021-01-01	224
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2021-01-01	14
2020: KANSAS SPINE & SPECIALTY HOSPITAL LLC SAVINGS INCENTIVE PLAN 2020 401k membership
Total participants, beginning-of-year	2020-01-01	244
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	199
Number of retired or separated participants receiving benefits	2020-01-01	0
Number of other retired or separated participants entitled to future benefits	2020-01-01	60
Total of all active and inactive participants	2020-01-01	259
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2020-01-01	0
Total participants	2020-01-01	259
Number of participants with account balances	2020-01-01	225
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2020-01-01	17
2019: KANSAS SPINE & SPECIALTY HOSPITAL LLC SAVINGS INCENTIVE PLAN 2019 401k membership
Total participants, beginning-of-year	2019-01-01	213
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	191
Number of retired or separated participants receiving benefits	2019-01-01	0
Number of other retired or separated participants entitled to future benefits	2019-01-01	41
Total of all active and inactive participants	2019-01-01	232
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2019-01-01	0
Total participants	2019-01-01	232
Number of participants with account balances	2019-01-01	201
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-01-01	9
2018: KANSAS SPINE & SPECIALTY HOSPITAL LLC SAVINGS INCENTIVE PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	186
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	173
Number of retired or separated participants receiving benefits	2018-01-01	0
Number of other retired or separated participants entitled to future benefits	2018-01-01	25
Total of all active and inactive participants	2018-01-01	198
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2018-01-01	0
Total participants	2018-01-01	198
Number of participants with account balances	2018-01-01	176
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-01-01	6
2017: KANSAS SPINE & SPECIALTY HOSPITAL LLC SAVINGS INCENTIVE PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	127
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	110
Number of retired or separated participants receiving benefits	2017-01-01	0
Number of other retired or separated participants entitled to future benefits	2017-01-01	15
Total of all active and inactive participants	2017-01-01	125
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-01-01	0
Total participants	2017-01-01	125
Number of participants with account balances	2017-01-01	125
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-01-01	0
2016: KANSAS SPINE & SPECIALTY HOSPITAL LLC SAVINGS INCENTIVE PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	126
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	107
Number of retired or separated participants receiving benefits	2016-01-01	0
Number of other retired or separated participants entitled to future benefits	2016-01-01	13
Total of all active and inactive participants	2016-01-01	120
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	0
Total participants	2016-01-01	120
Number of participants with account balances	2016-01-01	120
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	1
2011: KANSAS SPINE & SPECIALTY HOSPITAL LLC SAVINGS INCENTIVE PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	107
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	86
Number of retired or separated participants receiving benefits	2011-01-01	0
Number of other retired or separated participants entitled to future benefits	2011-01-01	9
Total of all active and inactive participants	2011-01-01	95
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	95
Number of participants with account balances	2011-01-01	95
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	4
2009: KANSAS SPINE & SPECIALTY HOSPITAL LLC SAVINGS INCENTIVE PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	187
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	100
Number of retired or separated participants receiving benefits	2009-01-01	0
Number of other retired or separated participants entitled to future benefits	2009-01-01	27
Total of all active and inactive participants	2009-01-01	127
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	127
Number of participants with account balances	2009-01-01	127
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	0

Financial Data on KANSAS SPINE & SPECIALTY HOSPITAL LLC SAVINGS INCENTIVE PLAN

Measure	Date	Value
2022 : KANSAS SPINE & SPECIALTY HOSPITAL LLC SAVINGS INCENTIVE PLAN 2022 401k financial data
Total unrealized appreciation/depreciation of assets	2022-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2022-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2022-12-31	$0
Total income from all sources (including contributions)	2022-12-31	$-1,411,928
Total loss/gain on sale of assets	2022-12-31	$0
Total of all expenses incurred	2022-12-31	$1,096,192
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2022-12-31	$1,008,791
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2022-12-31	$1,333,115
Value of total assets at end of year	2022-12-31	$15,962,316
Value of total assets at beginning of year	2022-12-31	$18,470,436
Total of administrative expenses incurred including professional, contract, advisory and management fees	2022-12-31	$87,401
Total interest from all sources	2022-12-31	$10,116
Total dividends received (eg from common stock, registered investment company shares)	2022-12-31	$763,910
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2022-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2022-12-31	$763,910
Was this plan covered by a fidelity bond	2022-12-31	Yes
Value of fidelity bond cover	2022-12-31	$500,000
If this is an individual account plan, was there a blackout period	2022-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2022-12-31	No
Contributions received from participants	2022-12-31	$644,233
Participant contributions at end of year	2022-12-31	$191,513
Participant contributions at beginning of year	2022-12-31	$184,820
Income. Received or receivable in cash from other sources (including rollovers)	2022-12-31	$23,641
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2022-12-31	No
Value of net income/loss	2022-12-31	$-2,508,120
Value of net assets at end of year (total assets less liabilities)	2022-12-31	$15,962,316
Value of net assets at beginning of year (total assets less liabilities)	2022-12-31	$18,470,436
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2022-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2022-12-31	No
Were any leases to which the plan was party in default or uncollectible	2022-12-31	No
Investment advisory and management fees	2022-12-31	$64,992
Value of interest in registered invesment companies (eg mutual funds) at end of year	2022-12-31	$13,834,507
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2022-12-31	$16,200,423
Interest on participant loans	2022-12-31	$9,689
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2022-12-31	$427
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2022-12-31	$1,765,055
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2022-12-31	$1,901,074
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2022-12-31	$-3,519,069
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2022-12-31	No
Was there a failure to transmit to the plan any participant contributions	2022-12-31	No
Has the plan failed to provide any benefit when due under the plan	2022-12-31	No
Contributions received in cash from employer	2022-12-31	$665,241
Employer contributions (assets) at end of year	2022-12-31	$171,241
Employer contributions (assets) at beginning of year	2022-12-31	$184,119
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2022-12-31	$1,008,791
Contract administrator fees	2022-12-31	$22,409
Did the plan have assets held for investment	2022-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2022-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2022-12-31	No
Opinion of an independent qualified public accountant for this plan	2022-12-31	Unqualified
Accountancy firm name	2022-12-31	FORVIS, LLP
Accountancy firm EIN	2022-12-31	440160260
2021 : KANSAS SPINE & SPECIALTY HOSPITAL LLC SAVINGS INCENTIVE PLAN 2021 401k financial data
Total unrealized appreciation/depreciation of assets	2021-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2021-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2021-12-31	$0
Total income from all sources (including contributions)	2021-12-31	$3,584,138
Total loss/gain on sale of assets	2021-12-31	$0
Total of all expenses incurred	2021-12-31	$1,891,928
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2021-12-31	$1,803,166
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2021-12-31	$1,332,160
Value of total assets at end of year	2021-12-31	$18,470,436
Value of total assets at beginning of year	2021-12-31	$16,778,226
Total of administrative expenses incurred including professional, contract, advisory and management fees	2021-12-31	$88,762
Total interest from all sources	2021-12-31	$10,799
Total dividends received (eg from common stock, registered investment company shares)	2021-12-31	$1,121,174
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2021-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2021-12-31	$1,121,174
Was this plan covered by a fidelity bond	2021-12-31	Yes
Value of fidelity bond cover	2021-12-31	$500,000
If this is an individual account plan, was there a blackout period	2021-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2021-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2021-12-31	No
Contributions received from participants	2021-12-31	$613,688
Participant contributions at end of year	2021-12-31	$184,820
Participant contributions at beginning of year	2021-12-31	$216,881
Participant contributions at end of year	2021-12-31	$0
Participant contributions at beginning of year	2021-12-31	$0
Income. Received or receivable in cash from other sources (including rollovers)	2021-12-31	$47,332
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2021-12-31	No
Value of net income/loss	2021-12-31	$1,692,210
Value of net assets at end of year (total assets less liabilities)	2021-12-31	$18,470,436
Value of net assets at beginning of year (total assets less liabilities)	2021-12-31	$16,778,226
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2021-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2021-12-31	No
Were any leases to which the plan was party in default or uncollectible	2021-12-31	No
Investment advisory and management fees	2021-12-31	$71,932
Value of interest in registered invesment companies (eg mutual funds) at end of year	2021-12-31	$16,200,423
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2021-12-31	$14,445,665
Interest on participant loans	2021-12-31	$10,794
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2021-12-31	$5
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2021-12-31	$1,901,074
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2021-12-31	$1,941,674
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2021-12-31	$1,120,005
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2021-12-31	No
Was there a failure to transmit to the plan any participant contributions	2021-12-31	No
Has the plan failed to provide any benefit when due under the plan	2021-12-31	No
Contributions received in cash from employer	2021-12-31	$671,140
Employer contributions (assets) at end of year	2021-12-31	$184,119
Employer contributions (assets) at beginning of year	2021-12-31	$174,006
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2021-12-31	$1,803,166
Contract administrator fees	2021-12-31	$16,830
Did the plan have assets held for investment	2021-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2021-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2021-12-31	No
Opinion of an independent qualified public accountant for this plan	2021-12-31	Disclaimer
Accountancy firm name	2021-12-31	BKD, LLP
Accountancy firm EIN	2021-12-31	440160260
2020 : KANSAS SPINE & SPECIALTY HOSPITAL LLC SAVINGS INCENTIVE PLAN 2020 401k financial data
Total unrealized appreciation/depreciation of assets	2020-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2020-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2020-12-31	$0
Total income from all sources (including contributions)	2020-12-31	$3,601,793
Total loss/gain on sale of assets	2020-12-31	$0
Total of all expenses incurred	2020-12-31	$1,042,549
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2020-12-31	$971,660
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2020-12-31	$1,391,073
Value of total assets at end of year	2020-12-31	$16,778,226
Value of total assets at beginning of year	2020-12-31	$14,218,982
Total of administrative expenses incurred including professional, contract, advisory and management fees	2020-12-31	$70,889
Total interest from all sources	2020-12-31	$13,060
Total dividends received (eg from common stock, registered investment company shares)	2020-12-31	$510,683
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2020-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2020-12-31	$510,683
Administrative expenses professional fees incurred	2020-12-31	$13,912
Was this plan covered by a fidelity bond	2020-12-31	Yes
Value of fidelity bond cover	2020-12-31	$500,000
If this is an individual account plan, was there a blackout period	2020-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2020-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2020-12-31	No
Contributions received from participants	2020-12-31	$629,177
Participant contributions at end of year	2020-12-31	$216,881
Participant contributions at beginning of year	2020-12-31	$224,888
Participant contributions at end of year	2020-12-31	$0
Participant contributions at beginning of year	2020-12-31	$22,287
Income. Received or receivable in cash from other sources (including rollovers)	2020-12-31	$90,555
Other income not declared elsewhere	2020-12-31	$27
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2020-12-31	No
Value of net income/loss	2020-12-31	$2,559,244
Value of net assets at end of year (total assets less liabilities)	2020-12-31	$16,778,226
Value of net assets at beginning of year (total assets less liabilities)	2020-12-31	$14,218,982
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2020-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2020-12-31	No
Were any leases to which the plan was party in default or uncollectible	2020-12-31	No
Investment advisory and management fees	2020-12-31	$56,977
Value of interest in registered invesment companies (eg mutual funds) at end of year	2020-12-31	$14,445,665
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2020-12-31	$12,306,840
Interest on participant loans	2020-12-31	$13,060
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2020-12-31	$1,941,674
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2020-12-31	$1,476,286
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2020-12-31	$1,686,950
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2020-12-31	No
Was there a failure to transmit to the plan any participant contributions	2020-12-31	No
Has the plan failed to provide any benefit when due under the plan	2020-12-31	No
Contributions received in cash from employer	2020-12-31	$671,341
Employer contributions (assets) at end of year	2020-12-31	$174,006
Employer contributions (assets) at beginning of year	2020-12-31	$188,681
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2020-12-31	$971,660
Did the plan have assets held for investment	2020-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2020-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2020-12-31	No
Opinion of an independent qualified public accountant for this plan	2020-12-31	Disclaimer
Accountancy firm name	2020-12-31	BKD, LLP
Accountancy firm EIN	2020-12-31	440160260
2019 : KANSAS SPINE & SPECIALTY HOSPITAL LLC SAVINGS INCENTIVE PLAN 2019 401k financial data
Total unrealized appreciation/depreciation of assets	2019-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-12-31	$0
Total income from all sources (including contributions)	2019-12-31	$4,153,725
Total loss/gain on sale of assets	2019-12-31	$0
Total of all expenses incurred	2019-12-31	$1,409,654
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2019-12-31	$1,346,915
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2019-12-31	$1,608,997
Value of total assets at end of year	2019-12-31	$14,218,982
Value of total assets at beginning of year	2019-12-31	$11,474,911
Total of administrative expenses incurred including professional, contract, advisory and management fees	2019-12-31	$62,739
Total interest from all sources	2019-12-31	$11,885
Total dividends received (eg from common stock, registered investment company shares)	2019-12-31	$680,972
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2019-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2019-12-31	$680,972
Was this plan covered by a fidelity bond	2019-12-31	Yes
Value of fidelity bond cover	2019-12-31	$500,000
If this is an individual account plan, was there a blackout period	2019-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2019-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2019-12-31	No
Contributions received from participants	2019-12-31	$622,122
Participant contributions at end of year	2019-12-31	$224,888
Participant contributions at beginning of year	2019-12-31	$200,095
Participant contributions at end of year	2019-12-31	$22,287
Participant contributions at beginning of year	2019-12-31	$20,935
Income. Received or receivable in cash from other sources (including rollovers)	2019-12-31	$339,061
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-12-31	No
Value of net income/loss	2019-12-31	$2,744,071
Value of net assets at end of year (total assets less liabilities)	2019-12-31	$14,218,982
Value of net assets at beginning of year (total assets less liabilities)	2019-12-31	$11,474,911
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2019-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2019-12-31	No
Were any leases to which the plan was party in default or uncollectible	2019-12-31	No
Investment advisory and management fees	2019-12-31	$53,208
Value of interest in registered invesment companies (eg mutual funds) at end of year	2019-12-31	$12,306,840
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2019-12-31	$10,035,354
Income. Interest from loans (other than to participants)	2019-12-31	$11,885
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2019-12-31	$1,476,286
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2019-12-31	$1,042,300
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2019-12-31	$1,851,871
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2019-12-31	No
Was there a failure to transmit to the plan any participant contributions	2019-12-31	No
Has the plan failed to provide any benefit when due under the plan	2019-12-31	No
Contributions received in cash from employer	2019-12-31	$647,814
Employer contributions (assets) at end of year	2019-12-31	$188,681
Employer contributions (assets) at beginning of year	2019-12-31	$176,227
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2019-12-31	$1,346,915
Contract administrator fees	2019-12-31	$9,531
Did the plan have assets held for investment	2019-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2019-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2019-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2019-12-31	Disclaimer
Accountancy firm name	2019-12-31	BKD, LLP
Accountancy firm EIN	2019-12-31	440160260
2018 : KANSAS SPINE & SPECIALTY HOSPITAL LLC SAVINGS INCENTIVE PLAN 2018 401k financial data
Total unrealized appreciation/depreciation of assets	2018-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-12-31	$0
Total income from all sources (including contributions)	2018-12-31	$440,372
Total loss/gain on sale of assets	2018-12-31	$0
Total of all expenses incurred	2018-12-31	$497,063
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2018-12-31	$437,125
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2018-12-31	$1,247,173
Value of total assets at end of year	2018-12-31	$11,474,911
Value of total assets at beginning of year	2018-12-31	$11,531,602
Total of administrative expenses incurred including professional, contract, advisory and management fees	2018-12-31	$59,938
Total interest from all sources	2018-12-31	$7,465
Total dividends received (eg from common stock, registered investment company shares)	2018-12-31	$989,697
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2018-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2018-12-31	$989,697
Was this plan covered by a fidelity bond	2018-12-31	Yes
Value of fidelity bond cover	2018-12-31	$500,000
If this is an individual account plan, was there a blackout period	2018-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2018-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2018-12-31	No
Contributions received from participants	2018-12-31	$575,087
Participant contributions at end of year	2018-12-31	$200,095
Participant contributions at beginning of year	2018-12-31	$107,108
Participant contributions at end of year	2018-12-31	$20,935
Participant contributions at beginning of year	2018-12-31	$15,656
Income. Received or receivable in cash from other sources (including rollovers)	2018-12-31	$87,799
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2018-12-31	No
Value of net income/loss	2018-12-31	$-56,691
Value of net assets at end of year (total assets less liabilities)	2018-12-31	$11,474,911
Value of net assets at beginning of year (total assets less liabilities)	2018-12-31	$11,531,602
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2018-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2018-12-31	No
Were any leases to which the plan was party in default or uncollectible	2018-12-31	No
Investment advisory and management fees	2018-12-31	$54,497
Value of interest in registered invesment companies (eg mutual funds) at end of year	2018-12-31	$10,035,354
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2018-12-31	$10,171,772
Interest on participant loans	2018-12-31	$7,465
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2018-12-31	$1,042,300
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2018-12-31	$1,109,537
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2018-12-31	$-1,803,963
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2018-12-31	No
Was there a failure to transmit to the plan any participant contributions	2018-12-31	No
Has the plan failed to provide any benefit when due under the plan	2018-12-31	No
Contributions received in cash from employer	2018-12-31	$584,287
Employer contributions (assets) at end of year	2018-12-31	$176,227
Employer contributions (assets) at beginning of year	2018-12-31	$127,529
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2018-12-31	$437,125
Contract administrator fees	2018-12-31	$5,441
Did the plan have assets held for investment	2018-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2018-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2018-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2018-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2018-12-31	Disclaimer
Accountancy firm name	2018-12-31	BKD, LLP
Accountancy firm EIN	2018-12-31	440160260
2017 : KANSAS SPINE & SPECIALTY HOSPITAL LLC SAVINGS INCENTIVE PLAN 2017 401k financial data
Total unrealized appreciation/depreciation of assets	2017-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-12-31	$0
Total income from all sources (including contributions)	2017-12-31	$2,789,267
Total loss/gain on sale of assets	2017-12-31	$0
Total of all expenses incurred	2017-12-31	$291,774
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2017-12-31	$238,889
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2017-12-31	$1,014,542
Value of total assets at end of year	2017-12-31	$11,531,602
Value of total assets at beginning of year	2017-12-31	$9,034,109
Total of administrative expenses incurred including professional, contract, advisory and management fees	2017-12-31	$52,885
Total interest from all sources	2017-12-31	$4,116
Total dividends received (eg from common stock, registered investment company shares)	2017-12-31	$717,137
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2017-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2017-12-31	$717,137
Was this plan covered by a fidelity bond	2017-12-31	Yes
Value of fidelity bond cover	2017-12-31	$500,000
If this is an individual account plan, was there a blackout period	2017-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2017-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2017-12-31	No
Contributions received from participants	2017-12-31	$497,767
Participant contributions at end of year	2017-12-31	$107,108
Participant contributions at beginning of year	2017-12-31	$93,661
Participant contributions at end of year	2017-12-31	$15,656
Participant contributions at beginning of year	2017-12-31	$14,196
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2017-12-31	No
Value of net income/loss	2017-12-31	$2,497,493
Value of net assets at end of year (total assets less liabilities)	2017-12-31	$11,531,602
Value of net assets at beginning of year (total assets less liabilities)	2017-12-31	$9,034,109
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2017-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2017-12-31	No
Were any leases to which the plan was party in default or uncollectible	2017-12-31	No
Investment advisory and management fees	2017-12-31	$48,828
Value of interest in registered invesment companies (eg mutual funds) at end of year	2017-12-31	$10,171,772
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2017-12-31	$7,785,957
Interest on participant loans	2017-12-31	$4,116
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2017-12-31	$1,109,537
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2017-12-31	$1,006,207
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2017-12-31	$1,053,472
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2017-12-31	No
Was there a failure to transmit to the plan any participant contributions	2017-12-31	No
Has the plan failed to provide any benefit when due under the plan	2017-12-31	No
Contributions received in cash from employer	2017-12-31	$516,775
Employer contributions (assets) at end of year	2017-12-31	$127,529
Employer contributions (assets) at beginning of year	2017-12-31	$134,088
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2017-12-31	$238,889
Contract administrator fees	2017-12-31	$4,057
Did the plan have assets held for investment	2017-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2017-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2017-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2017-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2017-12-31	Disclaimer
Accountancy firm name	2017-12-31	BKD, LLP
Accountancy firm EIN	2017-12-31	440160260
2016 : KANSAS SPINE & SPECIALTY HOSPITAL LLC SAVINGS INCENTIVE PLAN 2016 401k financial data
Total unrealized appreciation/depreciation of assets	2016-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-12-31	$0
Total income from all sources (including contributions)	2016-12-31	$1,783,649
Total loss/gain on sale of assets	2016-12-31	$0
Total of all expenses incurred	2016-12-31	$166,188
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2016-12-31	$125,026
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2016-12-31	$1,094,718
Value of total assets at end of year	2016-12-31	$9,034,109
Value of total assets at beginning of year	2016-12-31	$7,416,648
Total of administrative expenses incurred including professional, contract, advisory and management fees	2016-12-31	$41,162
Total interest from all sources	2016-12-31	$4,311
Total dividends received (eg from common stock, registered investment company shares)	2016-12-31	$374,640
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2016-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2016-12-31	$374,640
Administrative expenses professional fees incurred	2016-12-31	$4,798
Was this plan covered by a fidelity bond	2016-12-31	Yes
Value of fidelity bond cover	2016-12-31	$500,000
If this is an individual account plan, was there a blackout period	2016-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2016-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2016-12-31	No
Contributions received from participants	2016-12-31	$469,575
Participant contributions at end of year	2016-12-31	$93,661
Participant contributions at beginning of year	2016-12-31	$111,947
Participant contributions at end of year	2016-12-31	$14,196
Participant contributions at beginning of year	2016-12-31	$0
Income. Received or receivable in cash from other sources (including rollovers)	2016-12-31	$123,009
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-12-31	No
Value of net income/loss	2016-12-31	$1,617,461
Value of net assets at end of year (total assets less liabilities)	2016-12-31	$9,034,109
Value of net assets at beginning of year (total assets less liabilities)	2016-12-31	$7,416,648
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2016-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2016-12-31	No
Were any leases to which the plan was party in default or uncollectible	2016-12-31	No
Investment advisory and management fees	2016-12-31	$36,364
Value of interest in registered invesment companies (eg mutual funds) at end of year	2016-12-31	$7,785,957
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2016-12-31	$7,193,527
Interest on participant loans	2016-12-31	$4,310
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2016-12-31	$1
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2016-12-31	$1,006,207
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2016-12-31	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2016-12-31	$309,980
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2016-12-31	No
Was there a failure to transmit to the plan any participant contributions	2016-12-31	No
Has the plan failed to provide any benefit when due under the plan	2016-12-31	No
Contributions received in cash from employer	2016-12-31	$502,134
Employer contributions (assets) at end of year	2016-12-31	$134,088
Employer contributions (assets) at beginning of year	2016-12-31	$111,174
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2016-12-31	$125,026
Did the plan have assets held for investment	2016-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2016-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2016-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2016-12-31	Disclaimer
Accountancy firm name	2016-12-31	BKD, LLP
Accountancy firm EIN	2016-12-31	440160260
2011 : KANSAS SPINE & SPECIALTY HOSPITAL LLC SAVINGS INCENTIVE PLAN 2011 401k financial data
Total unrealized appreciation/depreciation of assets	2011-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$0
Total income from all sources (including contributions)	2011-12-31	$505,990
Total loss/gain on sale of assets	2011-12-31	$0
Total of all expenses incurred	2011-12-31	$117,739
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-12-31	$117,739
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-12-31	$659,243
Value of total assets at end of year	2011-12-31	$3,261,336
Value of total assets at beginning of year	2011-12-31	$2,873,085
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-12-31	$0
Total interest from all sources	2011-12-31	$1,578
Total dividends received (eg from common stock, registered investment company shares)	2011-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2011-12-31	No
Was this plan covered by a fidelity bond	2011-12-31	Yes
Value of fidelity bond cover	2011-12-31	$500,000
If this is an individual account plan, was there a blackout period	2011-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2011-12-31	No
Contributions received from participants	2011-12-31	$327,024
Participant contributions at end of year	2011-12-31	$42,554
Participant contributions at beginning of year	2011-12-31	$35,073
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-12-31	No
Value of net income/loss	2011-12-31	$388,251
Value of net assets at end of year (total assets less liabilities)	2011-12-31	$3,261,336
Value of net assets at beginning of year (total assets less liabilities)	2011-12-31	$2,873,085
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2011-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2011-12-31	No
Were any leases to which the plan was party in default or uncollectible	2011-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2011-12-31	$3,133,944
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2011-12-31	$2,838,012
Interest on participant loans	2011-12-31	$1,578
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2011-12-31	$-154,831
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2011-12-31	No
Was there a failure to transmit to the plan any participant contributions	2011-12-31	No
Has the plan failed to provide any benefit when due under the plan	2011-12-31	No
Contributions received in cash from employer	2011-12-31	$332,219
Employer contributions (assets) at end of year	2011-12-31	$84,838
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-12-31	$117,739
Did the plan have assets held for investment	2011-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2011-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2011-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2011-12-31	Disclaimer
Accountancy firm name	2011-12-31	BKD, LLP
Accountancy firm EIN	2011-12-31	440160260
2010 : KANSAS SPINE & SPECIALTY HOSPITAL LLC SAVINGS INCENTIVE PLAN 2010 401k financial data
Total unrealized appreciation/depreciation of assets	2010-12-31	$0
Total transfer of assets to this plan	2010-12-31	$0
Total transfer of assets from this plan	2010-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2010-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2010-12-31	$0
Total income from all sources (including contributions)	2010-12-31	$841,711
Total loss/gain on sale of assets	2010-12-31	$0
Total of all expenses incurred	2010-12-31	$177,086
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2010-12-31	$177,086
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2010-12-31	$585,805
Value of total assets at end of year	2010-12-31	$2,873,085
Value of total assets at beginning of year	2010-12-31	$2,208,460
Total of administrative expenses incurred including professional, contract, advisory and management fees	2010-12-31	$0
Total interest from all sources	2010-12-31	$1,642
Total dividends received (eg from common stock, registered investment company shares)	2010-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2010-12-31	No
Was this plan covered by a fidelity bond	2010-12-31	Yes
Value of fidelity bond cover	2010-12-31	$1,000,000
If this is an individual account plan, was there a blackout period	2010-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2010-12-31	No
Contributions received from participants	2010-12-31	$288,870
Participant contributions at end of year	2010-12-31	$35,073
Participant contributions at beginning of year	2010-12-31	$24,396
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2010-12-31	No
Value of net income/loss	2010-12-31	$664,625
Value of net assets at end of year (total assets less liabilities)	2010-12-31	$2,873,085
Value of net assets at beginning of year (total assets less liabilities)	2010-12-31	$2,208,460
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2010-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2010-12-31	No
Were any leases to which the plan was party in default or uncollectible	2010-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2010-12-31	$2,838,012
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2010-12-31	$2,116,114
Interest on participant loans	2010-12-31	$1,642
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2010-12-31	$254,264
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2010-12-31	No
Was there a failure to transmit to the plan any participant contributions	2010-12-31	No
Has the plan failed to provide any benefit when due under the plan	2010-12-31	No
Contributions received in cash from employer	2010-12-31	$296,935
Employer contributions (assets) at beginning of year	2010-12-31	$67,950
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2010-12-31	$177,086
Did the plan have assets held for investment	2010-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2010-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2010-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2010-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2010-12-31	Disclaimer
Accountancy firm name	2010-12-31	BKD LLP
Accountancy firm EIN	2010-12-31	440160260

Form 5500 Responses for KANSAS SPINE & SPECIALTY HOSPITAL LLC SAVINGS INCENTIVE PLAN

2022: KANSAS SPINE & SPECIALTY HOSPITAL LLC SAVINGS INCENTIVE PLAN 2022 form 5500 responses
2022-01-01	Type of plan entity	Single employer plan
2022-01-01	Submission has been amended	No
2022-01-01	This submission is the final filing	No
2022-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2022-01-01	Plan is a collectively bargained plan	No
2022-01-01	Plan funding arrangement – Insurance	Yes
2022-01-01	Plan funding arrangement – Trust	Yes
2022-01-01	Plan benefit arrangement - Trust	Yes
2021: KANSAS SPINE & SPECIALTY HOSPITAL LLC SAVINGS INCENTIVE PLAN 2021 form 5500 responses
2021-01-01	Type of plan entity	Single employer plan
2021-01-01	Submission has been amended	No
2021-01-01	This submission is the final filing	No
2021-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2021-01-01	Plan is a collectively bargained plan	No
2021-01-01	Plan funding arrangement – Insurance	Yes
2021-01-01	Plan funding arrangement – Trust	Yes
2021-01-01	Plan benefit arrangement - Trust	Yes
2020: KANSAS SPINE & SPECIALTY HOSPITAL LLC SAVINGS INCENTIVE PLAN 2020 form 5500 responses
2020-01-01	Type of plan entity	Single employer plan
2020-01-01	Submission has been amended	No
2020-01-01	This submission is the final filing	No
2020-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2020-01-01	Plan is a collectively bargained plan	No
2020-01-01	Plan funding arrangement – Insurance	Yes
2020-01-01	Plan funding arrangement – Trust	Yes
2020-01-01	Plan benefit arrangement - Trust	Yes
2019: KANSAS SPINE & SPECIALTY HOSPITAL LLC SAVINGS INCENTIVE PLAN 2019 form 5500 responses
2019-01-01	Type of plan entity	Single employer plan
2019-01-01	Submission has been amended	No
2019-01-01	This submission is the final filing	No
2019-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2019-01-01	Plan is a collectively bargained plan	No
2019-01-01	Plan funding arrangement – Insurance	Yes
2019-01-01	Plan funding arrangement – Trust	Yes
2019-01-01	Plan benefit arrangement - Trust	Yes
2018: KANSAS SPINE & SPECIALTY HOSPITAL LLC SAVINGS INCENTIVE PLAN 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
2018-01-01	Submission has been amended	No
2018-01-01	This submission is the final filing	No
2018-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2018-01-01	Plan is a collectively bargained plan	No
2018-01-01	Plan funding arrangement – Insurance	Yes
2018-01-01	Plan funding arrangement – Trust	Yes
2018-01-01	Plan benefit arrangement - Trust	Yes
2017: KANSAS SPINE & SPECIALTY HOSPITAL LLC SAVINGS INCENTIVE PLAN 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Submission has been amended	No
2017-01-01	This submission is the final filing	No
2017-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2017-01-01	Plan is a collectively bargained plan	No
2017-01-01	Plan funding arrangement – Insurance	Yes
2017-01-01	Plan funding arrangement – Trust	Yes
2017-01-01	Plan benefit arrangement - Trust	Yes
2016: KANSAS SPINE & SPECIALTY HOSPITAL LLC SAVINGS INCENTIVE PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Submission has been amended	No
2016-01-01	This submission is the final filing	No
2016-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-01-01	Plan is a collectively bargained plan	No
2016-01-01	Plan funding arrangement – Insurance	Yes
2016-01-01	Plan funding arrangement – Trust	Yes
2016-01-01	Plan benefit arrangement - Trust	Yes
2011: KANSAS SPINE & SPECIALTY HOSPITAL LLC SAVINGS INCENTIVE PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Submission has been amended	No
2011-01-01	This submission is the final filing	No
2011-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-01-01	Plan is a collectively bargained plan	No
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2009: KANSAS SPINE & SPECIALTY HOSPITAL LLC SAVINGS INCENTIVE PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Submission has been amended	No
2009-01-01	This submission is the final filing	No
2009-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-01-01	Plan is a collectively bargained plan	No
2009-01-01	Plan funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )

Policy contract number

GAP-TP-LK3P

Policy instance

Insurance contract or identification number	GAP-TP-LK3P
Number of Individuals Covered	218
Insurance policy start date	2022-01-01
Insurance policy end date	2022-12-31
Total amount of commissions paid to insurance broker	USD $4,577
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $4,577
Amount paid for insurance broker fees	0
Additional information about fees paid to insurance broker	NONE
Insurance broker organization code?	3

NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )

Policy contract number

GAP-TP-LK3P

Policy instance

Insurance contract or identification number	GAP-TP-LK3P
Number of Individuals Covered	224
Insurance policy start date	2021-01-01
Insurance policy end date	2021-12-31
Total amount of commissions paid to insurance broker	USD $5,078
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $5,078
Amount paid for insurance broker fees	0
Additional information about fees paid to insurance broker	NONE
Insurance broker organization code?	3

NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )

Policy contract number

GAP-TP-LK3P

Policy instance

Insurance contract or identification number	GAP-TP-LK3P
Number of Individuals Covered	199
Insurance policy start date	2020-01-01
Insurance policy end date	2020-12-31
Total amount of commissions paid to insurance broker	USD $4,596
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $4,596
Insurance broker organization code?	3

NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )

Policy contract number

GAP-TP-GZOY

Policy instance

Insurance contract or identification number	GAP-TP-GZOY
Number of Individuals Covered	0
Insurance policy start date	2019-01-01
Insurance policy end date	2019-12-31
Total amount of commissions paid to insurance broker	USD $3,921
Total amount of fees paid to insurance company	USD $980
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	Yes
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Other information about contract	GUARENTEED INVESTMENT
Commission paid to Insurance Broker	USD $3,921
Amount paid for insurance broker fees	980
Additional information about fees paid to insurance broker	SERVICE FEES
Insurance broker organization code?	3

NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )

Policy contract number

GAP-TP-LK3P

Policy instance

Insurance contract or identification number	GAP-TP-LK3P
Number of Individuals Covered	176
Insurance policy start date	2019-01-01
Insurance policy end date	2019-12-31
Total amount of commissions paid to insurance broker	USD $2,268
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $2,268
Insurance broker organization code?	3

NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )

Policy contract number

GAP-TP-GZOY

Policy instance

Insurance contract or identification number	GAP-TP-GZOY
Number of Individuals Covered	125
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-31
Total amount of commissions paid to insurance broker	USD $2,756
Total amount of fees paid to insurance company	USD $689
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	Yes
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Other information about contract	GUARENTEED INVESTMENT
Commission paid to Insurance Broker	USD $2,756
Amount paid for insurance broker fees	689
Additional information about fees paid to insurance broker	SERVICE FEES
Insurance broker organization code?	3
Insurance broker name	ROBERT W. BAIRD & CO

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See full terms and conditions

Company Name:	KANSAS SPINE & SPECIALTY HOSPITAL, L.L.C.
Employer identification number (EIN):	481251730
NAIC Classification:	622000
NAIC Description:	Hospitals